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Home My WebLink AboutBLDE-23-000263 Commonwealth of Official Use Only ttp Massachusetts Permit No. BLDE-23-000263 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:7/18/2022 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 96 OLD MAIN ST Owner or Tenant TOWN OF YARMOUTH Telephone No. Owner's Address FIRE STATION, 1146 ROUTE 28,SOUTH YARMOUTH, MA 02664-4463 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement generator Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators 1 KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. TotalNo.of Alerting Devices No.of Waste Disposers Heat Pump Number ToTons ns KW No.of Self-Contained Totals: Detection/Alerting Devices • No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.yf Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent • OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to start: Inspection to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: PEREIRA ELECTRIC CORPORATION Licensee: Mario Pereira Signature LIC.NO.: 22678 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:30 Robert W. Boyden Road,Taunton MA 02780 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But my signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $0.00 Qv c c2rcct )-" a ' ...) 14 Commosuaeakh el Massachusetts ...Official Use Only , Zspartasent.1 37,.5rvices Permit No. 3 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07) (leave blank) :Z --. ' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 CU -- (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 7/15/2022 scw City or Town of: Yarmouth To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. I,- Location(Street&Number) 96 Old Main St -q) ij ,--.1 OwnerOwner's o Addressr Tenant Town of Yarmouth -- 14.•et.rinoo-rvt -r,re- .t.pat-frilwi--frelephone No. 508-398-2212 (... .i Is this permit in conjunction with a building permit? Yes ID No 0 (Check Appropriate Box) Purpose of Building Fire Department Utility Authorization No. N/A i lz) 1 Existing Service Amps / Volts Overhead El Undgrd ID No.of Meters ‘..) -— New Service Amps / Volts Overhead El Undgrd 0 No.of Meters > 1 Number of Feeders and Ampadry 0 i Location and Nature of Proposed Electrical Work: Replace existing generator with new generator ‘,.. v-, Completion of the followinglabk m91 be waived by the In:sector of Wires. +,.., il No.of Recessed Luminaires No.of Cell-Snap.(Paddle)Fans No.of Transformers Total KVA i--) No.of Luminaire Outlets No.of Hot Tubs Generators ICVA Above rn In- No.of Emertencv No.of Luminaires Swimming Pool Lj 0 - • Lighting grad. grnd. Battery Units No.of Receptacle Oudets No.of OU Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Heat Pump Number Tom IC3,y. No.of Self-Contained No.of Waste Disposers Totals: -- ---- Detection/Alerting Devices ri Municipal ri , No.of Dishwashers Space/Area Heating KW 'Mal" Connection 1--i Other No.of Dryers Heating Appliances KW Se icecwity Systems:4 No.of Devs or Equivalent No.of Water No.of No.of Data Wiring: ICVV Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Mitring: No.of Devices or Ennivident OTHER: Attach additional detail if desirad,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start:7/19/2022 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [ BOND 0 OTHER 0 I certify,under the pains and penalties ofpejtuy,that the information on this application is tr complete. FIRM NAME: Pereira Electric Corporation Licensee: Mario Pereira IC.NO.: 871 Al Signature . .: 22678 A (If applicable,enter"exempt"in the license number line) Bus.Tel.No.: 508-824-0550 Address: 30 Robert W.Boyden Rd Taunton,MA 02780 Alt.Tel.No.: " *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. N/A OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERIWIT FEE:$